California Medicaid Edits Add-on

Optum



CALL 1-800-464-3649, Option 1

Item #: WAC41
Available: NOW

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California Medicaid (Medi-Cal) CPT®/HCPCS and revenue code reporting brings some special challenges. 

Medi-Cal continues to maintain “local” codes, as well as not accept the standard list of revenue codes. Not accounting for these differences creates rework in the form of edits and denials. Enterprise ChargemasterExpert.com, which is coupled with RevenueCyclePro.com brings up-to-date reference capabilities to avoid these issues from the start.

The Enterprise ChargemasterExpert.com California Medicaid Edits Add-on flags these Medi-Cal specific issues (invalid CPT®/HCPCS, invalid revenue code, questionable modifier, questionable revenue code) automatically and suggests codes for efficient action.

NOTE: This item is an add-on to our suite of online products. This item may only be purchased online if you are also buying a new subscription to an online application. 


The Enterprise ChargemasterExpert.com California Medicaid Edits Add-on may be added to these online coding tools:
Enterprise ChargemasterExpert.com  (Item 3452)


If you are already an active subscriber to one of our online coding applications and you are interested in purchasing an add-on, please contact a customer service representative at 1-800-464-3649, option 1.


CPT is a registered trademark of the American Medical Association.
  • Flags potential issues related to CPT®/HCPCS and revenue codes Medi-Cal does not accept. 
  • Identify questionable modifier relationships. Edits are also present for questionable CPT®/HCPCS to revenue code and CPT®/ HCPCS to modifier relationships. 

CPT is a registered trademark of the American Medical Association.